Calendar and Registration

Class Registration Form

 Hello and thank you for choosing DOC Up Medical for your training needs.  In order to make sure that you get a spot in a upcoming class we now offer on line registration. Please complete the follow form and submit it to complete the process. All information given will be for registration purposes only.  After processing you will be redirected to the home page.

First Name:
Last Name:
Class Attending :
Class Date :
City:
Zip Code: (5 digits)
State:
Phone Number:
Email:
Comments or Questions

 

Please update the amount in Pay Pal for selected courses. Upon receipt of your transaction and registration you will receive a confirmation email with information for selected courses. If payment is going to be made with a purchase order please indicate this in the questions or comment portion of the registration form. Thank you for choosing Doc Up Medical Training LLC




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